Ethanol administration impairs multiple aspects in the process of receptor-
mediated endocytosis (RME) in the liver. Studies from our laboratory over t
he last 10 years have carefully examined RME by the hepatocyte specific asi
aloglycoprotein receptor (ASGP-R). We have identified a time course for eth
anol-induced defects in RME and established that many of the impairments oc
cur initially in the centrilobular region of the liver and as early as one
week after ethanol administration. Impaired intravesicular acidification in
ethanol-fed animals has been identified, and these defects in acidificatio
n could alter multiple protein trafficking pathways including RME. In addit
ion to altered acidification, altered receptor function (including receptor
inactivation) could also contribute to impaired trafficking. Current studi
es in our laboratory are aimed at an examination of posttranslational modif
ications in the receptor (acylation and phosphorylation) that are known to
affect its function. A role for the ASGP-R in the process of alcoholic apop
tosis is also being examined because proper functioning of the ASGP-R is th
ought to be important in clearance of apoptotic cells. (C) 1999 Elsevier Sc
ience Inc. All rights reserved.